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Updated Biopsy Discouraging; What's Next?
Prostate Cancer | Last Active: Mar 9 8:53pm | Replies (8)Comment receiving replies
The high percentage of four in your 4+3 Gleason scores is definitely saying you need to treat this.
It’s good to see that you don’t have any other negative issues like Cribriform
You might look into proton radiation. It has much less effect on other organs And might be able to resolve the bladder issues so that you could have radiation.
The pet scan will tell whether or not there has been spread outside the prostate. Nothing in the biopsy implies there is spread.
Surgery at 79 is not common. If you are in real good health it may not be an issue. There are drugs that can shrink your prostate. Getting on ADT can do that for you and might resolve the issue with the bladder. Do you have BPH? It is possible there’s an infection that made your Prostate bigger? You should ask the doctors about what you can do to shrink your prostate so that the bladder is not a problem.
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@jeffmarc Thanks for your helpful perspectives. Yes, the absence of cribriform was a plus. Prostate is 114 cc so it will take a lot of shrinking to address the size! Yes, I've had BPH for a while. When we confer after the PET scan I'll explore possibly shrinking the prostate to make radiation at least a viable option. Appreciate your frequent posts, Jeff, and your advice here.